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Organization

PRESBYTERIAN ORTHOPAEDIC HOSPITAL, LLC

Active
Other names
Presbyterian Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
FRED M. HARGETT (EVP/CFO)
(704) 384-5184
Entity
Organization

Contact information

Practice address
120 PROVIDENCE RD, CHARLOTTE, NC 28207-1218
(704) 316-1900
Mailing address
2085 FRONTIS PLAZA BLVD, WINSTON SALEM, NC 27103-5614
(336) 277-7226
(336) 277-9795

Taxonomy

Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
72-00086
UHC
Enumeration date
07/01/2006
Last updated
11/18/2010
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